| 摘要: |
| 慢性硬膜下血肿（CSDH）是神经外科最常见疾病之一，随着人口老龄化和抗血栓药物的广泛使用，其发病率逐年上升。大部分CSDH患者通过手术治疗可获得较好的治疗效果，但仍有5%～30%的患者术后出现血肿复发需要再次入院治疗。CSDH术后复发的常见危险因素包括患者性别、年龄、基础疾病等自身因素，以及入院时血肿影像学形态、抗血栓药物的使用、麻醉方式、手术方式、辅助药物等。 |
| 关键词: 慢性硬膜下血肿 复发 危险因素 手术方式 药物 |
| DOI：10.16781/j.CN31-2187/R.20220434 |
| 投稿时间：2022-05-21修订日期：2022-12-22 |
| 基金项目:海军军医大学（第二军医大学）第一附属医院“234学科攀峰计划”（2020YXK001），上海申康医院发展中心临床三年行动计划重大疾病多中心研究项目（SHDC2020CR1018B）. |
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| Risk factors of postoperative recurrence of chronic subdural hematoma: research progress |
| WEI Yan-peng1,TANG Hai-shuang2,ZUO Qiao1,LIU Jian-min1* |
(1. Neurovascular Center, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Naval Medical Center, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Chronic subdural hematoma (CSDH) is one of the most common diseases in neurosurgery, and its incidence is increasing every year with the aging of the population and the widespread use of antithrombotic drugs. The majority of patients with CSDH have a good outcome with surgical treatment, but 5%-30% of patients still experience recurrence of hematoma and require readmission to the hospital. Common risk factors of hematoma recurrence include the patient factors such as gender, age and underlying disease, the imaging pattern of the hematoma at admission, the use of antithrombotic drugs, the mode of anesthesia, different surgical procedures, and adjuvant medications. |
| Key words: chronic subdural hematoma recurrence risk factors surgical procedures drugs |
